Treatment
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The methods of periodontal treatment are contingent on the type and severity of the disease. Your dentist and dental hygienist will assess for periodontal disease and suggest the appropriate treatment.
As periodontal disease advances, the sulcus (pocket or space) between the tooth and gums becomes filled with bacteria, plaque, and tartar, leading to irritation of the surrounding tissues. If these irritants persist in the pocket space, they can cause damage to the gums and eventually the bone supporting the teeth.
In the early stages of gingivitis, if no damage has occurred, one to two regular cleanings may suffice. Additionally, instructions for improving daily oral hygiene habits and scheduling regular dental cleanings will be provided.
If periodontal disease has progressed to more advanced stages, your dentist may recommend a specialized periodontal cleaning known as scaling and root planing, or deep cleaning. This procedure is typically performed one quadrant of the mouth at a time while the area is numb.
During scaling and root planing, tartar, plaque, and toxins are meticulously removed from above and below the gum line (scaling), and rough spots on root surfaces are smoothed out (planing).
This process promotes gum tissue healing and helps reduce pocket depths. Additionally, medications, special medicated mouth rinses, and an electric toothbrush may be recommended to control infection and aid in healing.
If the pockets fail to heal after scaling and root planing, periodontal surgery may be necessary to further reduce pocket depths, making teeth easier to clean. Your dentist may also suggest consulting with a periodontist, a specialist in treating the gums and supporting bone.